Ethan Ellsworth Gramstad (NPI# 1013434539, PAC ID# 2961778535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1013434539 |
| PAC ID by PECOS | 2961778535 |
| Professional Enrollment ID | I20171026000656 |
| Full Name | Ethan Ellsworth Gramstad |
| Organization Legal Name | JACKSON CLINICS LIMITED PARTNERSHIP |
| Address |
8550 Lee Hwy 450 Fairfax VA 22031-1519 |
| Phone Number | 7032081002 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2860623295 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8550 Lee Hwy 450, Fairfax, VA 22031-1519 | 7032081002 | JACKSON CLINICS LIMITED PARTNERSHIP |
| 8140 Ashton Ave, Suite 104, Manassas, VA 20109-5699 | 7032573333 | JACKSON CLINICS LIMITED PARTNERSHIP |
| Organization Legal Name | JACKSON CLINICS LIMITED PARTNERSHIP |
| Physicians | 111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Taylor Haines | Physical Therapy | Jackson Clinics Limited Partnership | 17301 Valley Mall Rd, Hagerstown, MD 21740-6966 |
| Samuel Monticello | Physical Therapy | Jackson Clinics Limited Partnership | 1407 Research Blvd, Rockville, MD 20850-3159 |
| Tyler Owens Meis | Physical Therapy | Jackson Clinics Limited Partnership | 8250 Greensboro Dr, Mclean, VA 22102-4902 |
| Jared Thornton Johnson | Physical Therapy | Jackson Clinics Limited Partnership | 13039 Worldgate Dr, Herndon, VA 20170-4374 |
| Thomas Gallinaro | Physical Therapy | Jackson Clinics Limited Partnership | 7764 Armistead Rd, Suite 210, Lorton, VA 22079-1961 |
| Pathik Patel | Physical Therapy | Jackson Clinics Limited Partnership | 42365 Soave Dr, Suite 200, Brambleton, VA 20148-4888 |
| Logan Sebastian | Physical Therapy | Jackson Clinics Limited Partnership | 209 Madison St, Ll2, Alexandria, VA 22314-1764 |
| Amanda Ruth Henry | Physical Therapy | Jackson Clinics Limited Partnership | 43490 Yukon Dr, Ashburn, VA 20147-6990 |
| Brett Gladish | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| Susan K Spar | Physical Therapy | Jackson Clinics Limited Partnership | 150 Elden St, Suite 240, Herndon, VA 20170-4845 |
| Street Address |
8550 LEE HWY 450 |
| City | FAIRFAX |
| State | VA |
| Zip | 22031-1519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle E Bloom | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Patricia K Towsley | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Carly Bose Klemen | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Barbara Semple | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Madison J Buckley | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Megan Alexandria Sharo | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Christopher Millikan | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Lauren Michelle Goldberg | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Erin M Mcdonald | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Donald C Weatherhead Iii | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Burford | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Lyndsey Marie Mcintyre | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Kristen Z Landers | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Amanda L Townsend | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Erin Ruest | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Cassondra Jurasits | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Alisha Nagda | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Leah Willis | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Conor F Thompson | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Helen Goldfrank | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Find all physicians in zip 22031 | |||
| City | FAIRFAX |
| Zip Code | 22031 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FAIRFAX + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ethan Ellsworth Gramstad.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.